Provider Demographics
NPI:1174866412
Name:HSUANTING TANG
Entity Type:Organization
Organization Name:HSUANTING TANG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:HSUANTING
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:909-965-5117
Mailing Address - Street 1:1800 E OLD RANCH RD APT 158
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-6465
Mailing Address - Country:US
Mailing Address - Phone:909-965-5117
Mailing Address - Fax:
Practice Address - Street 1:1800 E OLD RANCH RD APT 158
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-6465
Practice Address - Country:US
Practice Address - Phone:909-965-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital